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MR. MICHAEL ANTHONY WALTERS JR. ATC, LAT
NPI 1699388868
Specialist/Technologist - Athletic Trainer in Winston Salem, NC

Active since August 28, 2020
170 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 765-7058 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Anthony Walters Jr. Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL ANTHONY WALTERS JR. ATC, LAT (NPI 1699388868) is an individual athletic trainer provider in Winston Salem, North Carolina, licensed in North Carolina (LAT-4187) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1699388868
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MICHAEL ANTHONY WALTERS JR.Credential: ATC, LAT
Location Address170 KIMEL PARK DRWinston Salem, NC 27103-6946
Mailing Address1055 Fallbrook LnLewisville, NC 27023-8628 · (336) 624-4368
Phone(336) 765-7058
Sole ProprietorNo
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1699388868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in NC · LAT-4187
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
170 KIMEL PARK DR, Winston Salem, NC 27103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SUZONNE IJAMES STRATTON P.A.-C
Physician Assistant
170 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (704) 323-2000
MISS KARLY SUZANNE PUGH PT, DPT, EPC
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 765-7058
MR. WILLIAM LEWIS CRAIG III M.D.
Orthopaedic Surgery
170 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (704) 323-2000
JAMES M OWENS PA-C
Physician Assistant
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
MRS. DANA FRANCES GREEN PA-C
Physician Assistant
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
MR. TYLER JOHNSTON PT
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
MRS. CARRIE KIBLER RHODES PT
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 765-7058
DR. JONATHAN SCOTT YODER M.D.
Family Medicine
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (704) 323-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Walters's NPI number?

The NPI number for Michael Walters is 1699388868. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Michael Walters located?

Michael Walters practices at 170 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 765-7058.

What is Michael Walters's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Michael Walters was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.